Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.


Pediatric Airways

Chad Scarboro, MD

  • A self-inflating bag (the blue one that we have in the ED) doesn’t deliver oxygen unless you are actively bagging the patient.  There is a valve in the bag (“bag valve mask”) that prevents O2 from coming through unless the bag is squeezed.  If it isn’t being squeezed, oxygen escapes out the tail of the bag.
  • With respiratory disorders, children have less of a physiologic reserve and need early intervention (intubate early)
  • If unable to intubate, consider needle cric/jet ventilation in a child < 8